Individual
DR. BROCK CHARLES MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5188
(248) 829-3635
(248) 829-3634
Mailing address
3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5188
(248) 829-3635
(248) 829-3634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9658
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901020220
MI
Other
Enumeration date
06/05/2008
Last updated
02/12/2019
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